Placement of a bicaval dual-lumen (BCDL) catheter demands sophisticated visualization in patients to assure proper positioning in order to administer single-site venovenous extracorporeal membrane oxygenation (VV ECMO). Large animal models are needed and thus appropriate procedures to assure anatomic and functional cannula placement would assist in experimental design and procedures. This report describes the use of agitated blood and saline transthoracic contrast echocardiography to confirm appropriate placement and function of the BCDL catheter in a swine model of VV ECMO. Five consecutive common crossbred piglets had confirmation using this technique with assurances of cannulation while not significantly altering experimental time and procedures. Researchers studying VV ECMO in large animal models may want to consider this method of confirmation of BCDL catheter placement.
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Use of Image Guidance During Pediatric Venovenous Extracorporeal Membrane Oxygenation Cannulation: A Survey of the American Pediatric Surgical Association.
ASAIO J
July 2023
From the Department of Pediatric Surgery, Cleveland Clinic Children's Hospital, Cleveland, OH and.
This study evaluated practices for image guidance during placement of bicaval dual-lumen (BCDL) venovenous extracorporeal membrane oxygenation (VV-ECMO) cannulas in pediatric and adolescent patients and elucidates reasoning behind surgeon practices. A survey covering VV-ECMO practice and opinions was distributed by the American Pediatric Surgical Association (APSA) to all attending members. A total of 110 pediatric surgeons responded (11.
View Article and Find Full Text PDFActive rehabilitation with venovenous extracorporeal membrane oxygenation as a bridge to lung transplantation in a pediatric patient.
World J Pediatr
November 2013
Department of Pediatrics, The Ohio State University College of Medicine, Nationwide Children's Hospital, Columbus, OH, USA,
Background: Active physical rehabilitation while bridged to lung transplantation with venovenous (VV) extracorporeal membrane oxygenation (ECMO) is an evolving treatment option in adults with limited published experience in pediatric patients.
Methods: The administration of VV ECMO through the placement of a single-site bicaval dual-lumen (BCDL) catheter (Avalon Laboratories, Rancho Dominguez, CA, USA) permits respiratory support in a critically ill patient with avoidance of sedation and paralytics while allowing rehabilitation and oral nutrition.
Results: A 13-year-old girl with advanced interstitial lung disease underwent active rehabilitation while being bridged to lung transplantation with single-site VV ECMO.
Rapid placement of bicaval dual-lumen catheter in a swine model of venovenous ECMO.
J Invest Surg
February 2014
1Section of Pulmonary Medicine, Nationwide Children's Hospital, Columbus, Ohio , USA .
Background: Venovenous (VV) extracorporeal membrane oxygenation (ECMO) applied through a single site with a bicaval dual-lumen (BCDL) catheter is a growing method of treatment of acute respiratory failure, thus animal models for research purposes are needed. We describe a rapid technique for the placement of the BCDL catheter for single-site VV ECMO in swine.
Design: Prior to the application of single-site VV ECMO model with common crossbred piglets, BCDL catheters were placed using anatomical landmarks.
Cross-country transfer between two children's hospitals of a child using ambulatory extracorporeal membrane oxygenation for bridge to lung transplant.
Pediatr Transplant
August 2013
Department of Pediatrics, The Ohio State University College of Medicine, Nationwide Children's Hospital, Columbus, OH 43205, USA.
With a limited number of pediatric lung transplant programs, the transfer of patients will be required for appropriate candidates. Pediatric patients have been successfully transferred using extracorporeal membrane oxygenation (ECMO) with no previous reports using ambulatory single-site venovenous (VV) ECMO via a bicaval dual-lumen (BCDL) catheter as a method for transport to a lung transplant center in order to bridge to lung transplantation. Therefore, we present the successful transfer of a 13-yr-old female on ambulatory VV ECMO between two free-standing children's hospitals and then bridged to bilateral lung transplantation.
View Article and Find Full Text PDFContrast transthoracic echocardiography and the placement of a bicaval dual-lumen catheter in a Swine model of venovenous extracorporeal membrane oxygenation.
Artif Organs
June 2013
Artificial Lung and ECMO Research Laboratory, Nationwide Children's Hospital Research Institute, Columbus, OH 43205, USA.
Placement of a bicaval dual-lumen (BCDL) catheter demands sophisticated visualization in patients to assure proper positioning in order to administer single-site venovenous extracorporeal membrane oxygenation (VV ECMO). Large animal models are needed and thus appropriate procedures to assure anatomic and functional cannula placement would assist in experimental design and procedures. This report describes the use of agitated blood and saline transthoracic contrast echocardiography to confirm appropriate placement and function of the BCDL catheter in a swine model of VV ECMO.
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